Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 1458092 | NY |
NPI | 1023278264 |
---|---|
Provider Name | Cecilia Pesavento |
First Address | Croton On Hudson, NY 10520-2654 |
Second Address | Croton On Hudson, NY 10520-2654 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 11/06/2008 |